NPIMap

Individual provider Active NPI

Richard Allan Cappiello, MD

  • Rheumatology Physician
  • Fruita, CO
National Provider Identifier
1346209574
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
DR.0057964 Issued in CO
Practice address
576 Kokopelli Blvd Unit D
Fruita, CO 81521-6306
Phone
(970) 858-2590
Fax
(970) 858-5036
NPI assigned
Mar 17, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X DR.0057964 CO Primary

Addresses

Primary practice location

576 Kokopelli Blvd Unit D
Fruita, CO 81521-6306

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address richardcappiello@fhwco.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170320002027 CO Practitioner - Rheumatology 5496737397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

576 Kokopelli Blvd
Unit D
Fruita, CO 81521-6304

P O Box
Suite 130
Fruita, CO 81521-0130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0057964COMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association Rheumatology Current Accepting new patients
Lower Valley Hospital Association CurrentSince Jun 1, 2017 Accepting new patients
Pardo, Forstot, Baca, Alboukrek, P.a. Rheumatology Past Accepting new patients

Locations

300 W Ottley Ave
#W
Fruita, CO 81521

300 W Ottley Ave
Fl 2
Fruita, CO 81521

401 Kokopelli Blvd
Fruita, CO 81521
Phone (970) 858-9894

576 Kokopelli Blvd
Ste De
Fruita, CO 81521

576 Kokopelli Blvd
Unit D
Fruita, CO 81521
Phone (970) 858-2228

576 Kokopelli Blvd
Unit De
Fruita, CO 81521
Phone (970) 858-2590

Interoperability endpoints

  • Direct secure messaging: richardcappiello@fhwco.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1346209574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 KOKOPELLI BLVD UNIT D",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216306",
            "telephone_number": "970-858-2590",
            "fax_number": "970-858-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPIELLO",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "DR.0057964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richardcappiello@fhwco.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Family Health West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "576 Kokopelli Blvd Unit D",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815216306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.